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Titolo:
GLOBAL PHYSICIAN BUDGETS AS COMMON-PROPERTY RESOURCES - SOME IMPLICATIONS FOR PHYSICIANS AND MEDICAL ASSOCIATIONS
Autore:
HURLEY J; CARD R;
Indirizzi:
MCMASTER UNIV,CTR HLTH SCI,CTR HLTH ECON & POLICY ANAL,RM 3H1D HAMILTON ON L8N 3Z5 CANADA MCMASTER UNIV,DEPT CLIN EPIDEMIOL HAMILTON ON L8N 3Z5 CANADA MCMASTER UNIV,DEPT BIOSTAT HAMILTON ON L8N 3Z5 CANADA MCMASTER UNIV,DEPT ECON HAMILTON ON L8N 3Z5 CANADA UNIV SASKATCHEWAN,COLL MED,DEPT MED SASKATOON SK S7N 0W0 CANADA
Titolo Testata:
CMAJ. Canadian Medical Association journal
fascicolo: 8, volume: 154, anno: 1996,
pagine: 1161 - 1168
SICI:
0820-3946(1996)154:8<1161:GPBACR>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
CANADA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
35
Recensione:
Indirizzi per estratti:
Citazione:
J. Hurley e R. Card, "GLOBAL PHYSICIAN BUDGETS AS COMMON-PROPERTY RESOURCES - SOME IMPLICATIONS FOR PHYSICIANS AND MEDICAL ASSOCIATIONS", CMAJ. Canadian Medical Association journal, 154(8), 1996, pp. 1161-1168

Abstract

Since 1990 payment for physician services in the fee-for-service sector has shifted from an open-ended system to fixed global budgets. Thisshift has created a new economic context for practising medicine in Canada. A global cap creates a conflict between physicians' individual economic self-interest and their collective interest in constraining total billings within the capped budget. These types of incentive problems occur in managing what are known in economics as common-property resources. Analysts studying common-property resources have documented several management principles associated with successful, long-run useof such resources in the face of these conflicting incentives. These management principles include clearly defining the boundaries of the common-property resource, explicitly specifying rules for using the resource, developing collective decision-making arrangements and monitoring mechanisms, and creating low-cost conflict-resolution mechanisms. The authors argue that global physician budgets can usefully be viewed as common-property resources. They describe some of the key managementprinciples and note some implications for physicians and the provincial and territorial medical associations as they adapt to global budgets.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/09/20 alle ore 01:24:40